Implantation of cardioverter defibrillator and pacemaker using the same pectoral quadrant.
We implanted a cardioverter defibrillator (ICD) together with a pacemaker system in three patients with ventricular tachycardia and bradyarrhythmias. Both systems (ICD and pacemaker) were implanted in the same left pectoral quadrant using a single skin incision and the subclavian and/or the cephalic vein. The ICD was implanted deep to the pectoralis major muscle, the pacemaker was placed subcutaneously in a more medial pocket. There were no technical difficulties during implantation or complications during follow-up.
Strasberg
B
B
Department of Cardiology, Rabin Medical Center, Petah Tiqva, Israel.
Erdman
S
S
Kusniec
J
J
Mazur
A
A
D000368:Aged; D001919:Bradycardia / Q000000981:diagnostic imaging / Q000628:therapy; D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D010369:Pectoralis Muscles / Q000000981:diagnostic imaging / Q000601:surgery*; D013902:Radiography, Thoracic; D017180:Tachycardia, Ventricular / Q000000981:diagnostic imaging / Q000628:therapy